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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date November 19 2019 <br />Department <br />Name Jacob M. Klosinuski Engineering,/ Utilities <br />BPW Date November 26 201.9 Phone Extension Ext. 9496 <br />iivmmmmi irnm m r fflffl't wnaaw Timm <br />.........................................._..._...,, ................ ........�............._........�. _....�,�..IT... <br />Rei�Ltri.t'ed Prior to Submittal to Board <br />BPW Attorney ® Attorney Name Clara McDaniels <br />Dept. Attorney E] Attorney Name <br />Purchasing <br />Check the <br />Item Type — Requiredfor All Submissions <br />LJ Professional Services Agreement F-1 Contract <br />[] Open Market Contract ❑ Amendment/Addendum <br />Bid Opening <br />❑ Bid Award <br />❑ Quote Opening <br />❑ Quote Award <br />❑ Proposal Opening <br />❑ C/O & PCA No. <br />R Chg. Order, No. <br />❑ Traffic Control <br />El Other: <br />l.eq a fired. Information <br />Proposal <br />H Special Purchase, QPA <br />❑ Req. to Advertise <br />® Reject Bids/Quotes <br />❑ PCA <br />❑ Resolution <br />Ease./Encroach <br />❑ Title Sheei <br />Company or Vendor Name <br />pp Y ....._..... <br />New Vendor Yes If Yes, Approved b Purchasing <br />�] No <br />MBE/WBE Contractor 0 MBE Completed E-Verify Form Attached Nos <br />Project Name North Pumping Station Flood Damage Repairs <br />Project Number 118-302 ............. <br />Funding Source Liability Insurance ......._._ .. Claim) <br />ranee (Building Repair &„Maint. Or Insurance Claim)mmm <br />Account No. 226-0419-672.36-01 or 226-0419-380.10-83 <br />Amount ........ _..... <br />.._....__ ... _ .......... <br />Terms of Contract <br />Purpose/Description The Division of En neerin2 and Division of Utilities request the Board of <br />Public Works reject all quotes received for the sub iect ro'ect. The Divisio <br />of f�ingq is work�n with frost 11gineerµing to VSiat_e dIg quotation <br />Specifications __to re -quote the nroiect. Bids received were in excess of the <br />Decrease ($ <br />Previous Amount <br />Increase /o <br />Current Percent of Change: Decrease ( /o <br />o ) <br />New Amount $ _ <br />Increase.�.�_�......_��.�_........�me�_____ �_..._............._��� �.�.......�.�.�.� <br />............ ...._ ...... <br />Total Percent of Change: Decrease�.......__................/o)...........w�....���....�......mwWW ��� ..............m <br />Time Extension Amount: <br />New Completion Date: <br />